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Michael Vahid Hendricks, R1540271223

Counselor, Addiction (Substance Use Disorder) in Bakersfield, CA. Individual provider (NPI-1).

NPI number1558106971
StatusActive
Last updated in NPPESJun 27, 2024

Details

NPI
1558106971
Entity type
Individual (NPI-1)
Name
Michael Vahid Hendricks
Credential
R1540271223
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2024
Certification date
Jun 27, 2024
Last updated
Jun 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)R1540271223CAYes

Practice location

2901 S H St
Bakersfield, CA 93304-5602

Phone 661-398-4303

Mailing address

2901 S H St
Bakersfield, CA 93304-5602

Phone 661-398-4303

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